Anita Salunkhe

Anita Salunkhe Senior Analyst Anita has been a Subject Matter Expert on Healthcare Insurance Domain, specializing in Claims Adjudication, Enrollment, Pricing and Payments. Extensive knowledge on Provider Configuration, Provider Contracts/Fee schedules. Prior to joining Tech Mahindra, Anita worked as a Senior Analyst with a Contact Address Pune, India 411036 leading Healthcare company. Anita has completed Bachelors in Computer Phone Application from India. Senior Analyst bringing exceptional abilities in +91 - competitor analysis, business intelligence development and trend E-mail assessment. Successful at promoting company advancements and boosting team performance. Consistently reaches revenue targets by reviewing accurate data and producing creative recommendations. -m LinkedIn www.linkedin.com/anitasalu Work History nkhe 2023-10 - Senior Analyst Current Tech Mahindra Pvt. Ltd, Pune Skills Healthcare Standards            Working in Policy Admin for New Sold Case, Amendment or Endorsement Cases. Assist underwriter with policy premium and policy exclusion & inclusion Once the policy issue in the system if insured request to make any midterm changes on policy, we make changes through Endorsement. Working as Back up QA for New Case Conduct root cause analysis, training, planning, and conducting refreshers, knowledge assessments. knowledge management and people development practice Research EDI 834 files (Medicare, Medicaid, Medicare Advantages, IFP, On and Off Exchange) Helping team members on product, process, and tools knowledge as process and client requirements. Always utilize my expertise to contribute effectively in project completion. Develop and maintain documentation for new workflows to complete the business case. Supported leadership team with reporting, analysis, and business presentations to inform Divisional strategies. HIPAA Healthcare Work flows: Provider Work f l ows Environments Windows Database SQL Server Domains Healthcare Business Analyst - Senior Configuration Analyst Evolent Health, Pune       - Process Specialist EXL Services India Pvt Ltd., Pune          - Led projects as assigned, worked independently & provided test assignments, and status reporting. Was responsible to build the test case suite, Iincluding test claims, for assigned scope in a timely manner including creation of new test cases linked to business and/or technical requirements; Also, involves selecting existing test assets for execution and to fortify regression testing with minimal guidance. Conducted end to end testing includingintegration points and dependencies. Provided configuration subject matter expertise for audit and creation of test plans, test suites, test cases, and testing strategy. Ran test claims against designed scenarios to vlivalidate results. Collaborated with Configuration cross functional areas to develop, implement, and improve testingand auditing processes which support claims processing and proper provider payment. Troubleshot and resolved audit and testing barriers or risks. Created test claims, test plans, and test cases. Executed end to end test cases for all integration points and dependencies, conducted functional and regression testing. EXL is a global IT services, consulting and business solutions company delivering best-in-class services and helping worldwide companies. Handled all process related and organization level update in team in absence of SMEs. Well trained & specialist in Claims Adjudication, Med ops Payment correction and cross trained in Right Coding team. Handled all types of transactions (New Standard claim bills, Reconsideration claims bills, provider escalation) in gracious manner and in accordance with company policy. Analyzed and pay the transaction against the provider, following state guideline rules. Handled urgent/rush/escalation requests in absence of respective SME’s Provided additional support to the team on their procedure related queries in absence of SME’s. Train new joiners also audit for new joined candidate Submitted 4 bright ideas to improve process AHT and efficiency and received client appreciation. Associate  Treizetto Services India Pvt. Ltd, Pune  Processing LHP enrollment Application  Processing new enrollment, Change, Restart and Terminate policy.  Providing billing Information  Explaining details  Maintain customer relationship etc Education:Bachelor of Computer Application Tilak Maharashtra University,PUNE 20008